title: Lightweight polypropylene mesh fixation in laparoscopic incisional hernia repair.
abstract: BACKGROUND
  The choice of the mesh and fixation methods in laparoscopic incisional hernia repair is a crucial issue in preventing complications and recurrence. The authors report a series of 40 consecutive laparoscopic incisional hernia repairs, focusing on the use of lightweight polypropylene mesh and on the way of mesh fixation.
  
  
  METHODS
  Forty laparoscopic incisional hernia repairs performed consecutively in 38 patients (16 males, 22 females) were retrospectively evaluated. Patients were divided into two groups depending on tacks used: Titanium tacks vs absorbable tacks.
  
  
  RESULTS
  All patients received totally laparoscopic incisional hernia repair by the use of lightweight polypropylene mesh. No major post-operative complications were reported. Post-operative pain (evaluated by VNS) was higher in Group A (titanium tacks, p < 0.05). No differences in follow-up as well as in recurrence incidence (one case in both groups, <6 months time interval) were reported.
  
  
  CONCLUSIONS
  Securestrap™ absorbable tacks are safe and effective and easy to use and did not increase the risk of mesh dislocation compared with non-absorbable tacks. The specific design well fits the lightweight polypropylene mesh Physiomesh™. Further evaluations in larger randomized studies are needed to confirm these preliminary data.
authors.affiliation: Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University , Rome , Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Cavallaro
authors.forename: Fabio Cesare
authors.initials: FC
authors.lastname: Campanile
authors.forename: Mario
authors.initials: M
authors.lastname: Rizzello
authors.forename: Francesco
authors.initials: F
authors.lastname: Greco
authors.forename: Olga
authors.initials: O
authors.lastname: Iorio
authors.forename: Angelo
authors.initials: A
authors.lastname: Iossa
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Silecchia
mesh_terms: D020341:Absorbable Implants; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology; D011126:Polypropylenes; D012008:Recurrence; D012189:Retrospective Studies; D053831:Surgical Fixation Devices; D013526:Surgical Mesh; D013997:Time Factors; D014025:Titanium / Q000737:chemistry; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes; D014025:Titanium